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Homestead_English £FARE FORM'3,0•117.2./•■n) MANEEt FORAM:9-IA
11TROVED BY,r\EL BOOM M ACCOUNTS.lo x PRESCRIBED BY nll nFPART1EYr nr LOCAL rAN'ERVMEI,T FINANCE IC 6-I.I-22!.1
Gibson County Auditor
101 N Main IMPORTANT NOTICE TO HOMESTEAD PROPERTY OWNERS
PRINCETON IN 47670 hWividua6 and married couples are limited to one homestead standard deduction.As the receipt of this deduction becomes
more beneficial,there is more incentue than net for homestead fraud.Homestead fraud causes higher tat bills for all;therefore.
• HEA 1344-2009 requires taxpayers who receive the homestead standard deduction to verity that they an eligible to receise the
benefit and to provide additional identifying information necrsary to allow counts'government to better monitor homestead
filings.This information will he Lq,.confidential and can only be accessed by authorized county of icials.The Ikpanntent of
Local Govvnuncm Finance will use this information to create tools that will help county officials eliminate homestead fraud.
PART 1: PROPERTY INFORMATION
Taxpayer Name Property Address
_ English, John G/Margo S
314 Main ST
_�_ - _ _ . . , _ _ _ ___ _ _ _ Owcnsville IN 47665
6214
John G/Margo S English
314 S Main ST
Owensville IN 47665 State Parcel Number Legal Description
26-17-12-204-000.156-022 017-00156-00 PT NE 12-3-12.35 AC
X
PART 2: TAXPAYER INFORMATION
Owner I First Middle Last
�O I-L PO �.-2 C.0 oe lf &1,1 (7_L 1 s t
.g Address(number and strut,dry,,]state,and ZIP code) ® Same as propeny address - — _- — _ -
3/Z/ 5o f. fI //ta/A, Si D(.xJEA)5vlllse �.A1 '1710(03
Spouse .� First Middle Last
O/�`a-r.) 0 S ep ClU(Rl.IS1A_
Mailing Address(Npmper and street,city,state,and ZIP code) !21 Same as property address
IV 3 o1C G
;3/r' 'S /4/q- ti Si • o wETAsvt //-4 sN q7 le
PART 3:CERTIFICATION
Each undersigned certifies,under penalty of perjury.that the above and foregoing information is true and correct and that he or she is eligible to
receive the homestead standard deduction on this property. Each undersigned also understands that,by claiming additional homestead deductions
unlawfully e or she may be liable for back taxes and substantial financial penalties.
Owner I Si.
I e ' / Date
41